Target Pharmacy

LBN: Target Pharmacy
Target Pharmacy is an health care organization with primary practice located at 4310 Fortuna Center Plz , Dumfries VA 22025-1538. The organization recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as the primary health care specialty. Target Pharmacy can be contacted via phone (703) 586-6133, or through Domingue, Esstease Emile via phone (757) 660-0013.

Contact Information

Primary practice address
4310 Fortuna Center Plz Dumfries VA 22025-1538
Phone: (703) 586-6133
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Domingue, Esstease Emile PHARMD
Phone: (757) 660-0013

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X 0202212273 Virginia

Profile Details

NPI number 1205291549
LBN Legal business name Target Pharmacy
DBA Doing business as
Authorized official Domingue, Esstease Emile PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2015
Last updated Dec 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205291549 NPPES
Virginia Other 0202212273 VIRGINIA PHARMACY LICENSE

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